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Hip replacement in Florida: what insurers pay

Posted commercial rates at 16 Florida hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Tampa General Hospital Tampa$14,9791.1×12026-04-01
Morton Plant Hospital Clearwater$16,7321.3×22026-01-01
Mease Dunedin Hospital Dunedin$16,7321.3×22026-01-01
South Florida Baptist Hospital Plant City$16,7321.3×22026-01-01
Mease Countryside Hospital Safety Harbor$16,7321.3×22026-01-01
Cleveland Clinic Hospital Weston$18,3761.4×12026-06-15
Tampa General Hospital Brooksville Brooksville$18,3851.4×32026-04-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Mount Sinai Medical Center Of Florida, Inc Miami Beach$24,9461.7×52026-03-13
Cleveland Clinic Hospital Weston$26,7461.9×42026-06-15
Memorial Hospital West Pembroke Pines$27,2991.9×32026-05-27
Tampa General Hospital Brooksville Brooksville$29,8212.1×42026-04-01
Jackson Memorial Hospital Miami$37,1632.6×42026-09-23
Adventhealth Wesley Chapel Wesley Chapel$37,1922.6×42026-04-01
Morton Plant Hospital Clearwater$38,5772.7×52026-01-01
Mease Dunedin Hospital Dunedin$38,5772.7×52026-01-01
South Florida Baptist Hospital Plant City$38,5772.7×52026-01-01
Mease Countryside Hospital Safety Harbor$38,5772.7×52026-01-01
Tampa General Hospital Tampa$39,2932.7×42026-04-01
Adventhealth Zephyrhills Zephyrhills$40,0402.8×42026-04-01
Adventhealth Tampa Tampa$41,6962.9×42026-04-01
Adventhealth Carrollwood Tampa$45,8473.2×42026-04-01
Adventhealth North Pinellas Tarpon Springs$47,0753.3×32026-04-01
Orlando Health Orlando Regional Medical Center Orlando$53,4823.7×42026-04-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Memorial Hospital West Pembroke Pines$27,2991.2×32026-05-27
Mount Sinai Medical Center Of Florida, Inc Miami Beach$38,2411.7×52026-03-13
Cleveland Clinic Hospital Weston$41,3171.8×42026-06-15
Tampa General Hospital Brooksville Brooksville$46,8932.1×42026-04-01
Jackson Memorial Hospital Miami$58,4392.6×42026-09-23
Adventhealth Wesley Chapel Wesley Chapel$58,4862.6×42026-04-01
Adventhealth Zephyrhills Zephyrhills$62,9642.8×42026-04-01
Adventhealth Tampa Tampa$65,5682.9×42026-04-01
Tampa General Hospital Tampa$66,0552.9×42026-04-01
Morton Plant Hospital Clearwater$66,8783.0×52026-01-01
Mease Dunedin Hospital Dunedin$66,8783.0×52026-01-01
South Florida Baptist Hospital Plant City$66,8783.0×52026-01-01
Mease Countryside Hospital Safety Harbor$66,8783.0×52026-01-01
Adventhealth Carrollwood Tampa$72,0943.2×42026-04-01
Adventhealth North Pinellas Tarpon Springs$74,0253.3×32026-04-01
Orlando Health Orlando Regional Medical Center Orlando$92,2234.1×42026-04-01

Questions

How much do insurers pay for hip replacement in Florida?

16 Florida hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 7 hospitals is $16,732, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.